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<br />' v SENDER: I also wish to receive the tollow- <br />h ^ Complete items 1 anNor 2 for atlditional services. ng services (for an extra tee): <br />H Complete items 3, 4a, antl 4b. <br /> a Print your name and address on the reverse of this form so that wa can return this ti <br /> card to you. 1. ^ Addressee's Address °- <br />m ^ Mach this form to the Iront of the mailpiars, or on the back <br />ermit if space does not <br />2. ~ Restricted Delivery is <br />d p <br />. <br />^ Write Wetum Receipt Requesfetl'on the mailpiece below the adicle number. in <br />~ O The Return Receipt will show to whom the article was delivered antl the date a <br />. <br />p delivered. ~ ~ <br />m 3. Article Atldressed t¢ ~ -~ 4a. Article Number <br />a <br />E <br />/ <br />5 [ o h (Y~ 9rj <br />G <br />~ <br />~ <br />_ ~ <br />~ <br />yn <br />rG <br />! 4b. Service Type d <br />~ ^ <br />e (K b ~ O ~ ~ ^ Registered O Certified ~ <br />w S'/, ~~ ~,,., ~ ~ S'>tr <br /> <br />)3/3 ^ Express Mail ^ Insured <br />c <br />.~ <br /> ~ ^Return Receipt for Merchandise ^COD <br /> t <br />RoO v+ Z w <br /> 7. Date of Delivery <br /> <br /> 5. R 'ved By Pr' f N 6.~Addressee's Address (Only i/requested and c <br />~ /ee is paid) r <br /> <br />0 6. Signature (Addressee nr.n.,one - - - <br />r 7002 ()510 00(73 7645 1207 <br /> <br /> PS Form 3811, December 1994 102595-99-80223 Domestic Return R <br />CEIVED <br /> NOV 0 4 2002 <br />Division of Minerals and Geology <br />~~~ ~ ~ tea. <br />Q~- <br />~~~ <br />~a/aa/oz ~ ~~ <br />